Organization Name: | MT. GIBBORIM, PLLC |
NPI Number: | 1215154034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA ALAN CARR (OWNER) |
Mailing Address: | 83 S 2600 W Suite 102 Hurricane |
State: | UT US |
Postal Code: | 847373266 |
Phone Number: | 4356357771 |
Fax Number: | 4356357701 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 60040551202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |